Citation: Roberts, A.; Harris, K.;
Outen, B.; Bukvic, A.; Smith, B.;
Schultz, A.; Bergman, S.; Mondal, D.
Osteopathic Manipulative Medicine:
A Brief Review of the Hands-On
Treatment Approaches and Their
Therapeutic Uses. Medicines 2022, 9,
33. https://doi.org/10.3390/
medicines9050033
Academic Editor: James
David Adams
Received: 15 December 2021
Accepted: 20 April 2022
Published: 27 April 2022
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medicines
Review
Osteopathic Manipulative Medicine: A Brief Review of the
Hands-On Treatment Approaches and Their Therapeutic Uses
Ashley Roberts
1
, Kaylee Harris
1
, Bethany Outen
1
, Amar Bukvic
1
, Ben Smith
1
, Adam Schultz
1
,
Stephen Bergman
2
and Debasis Mondal
1,
*
1
DeBusk College of Osteopathic Medicine, Lincoln Memorial University, 9737 Cogdill Road,
Knoxville, TN 37932, USA; ashley.roberts02@lmunet.edu (A.R.); kaylee.harris@lmunet.edu (K.H.);
bethany.outen@lmunet.edu (B.O.); amar.bukvic@lmunet.edu (A.B.); ben.smith@lmunet.edu (B.S.);
adam.schultz@lmunet.edu (A.S.)
2
DeBusk College of Osteopathic Medicine, Lincoln Memorial University, 6965 Cumberland Gap Parkway,
Harrogate, TN 37752, USA; stephen.bergman@lmunet.edu
* Correspondence: debasis.mondal@lmunet.edu
Abstract: Osteopathic manipulative medicine (OMM) is an emerging practice in the healthcare field
with increasing popularity and evidence-based therapy. Osteopathic manipulative treatments (OMT)
include hands-on manipulations of different body structures to increase systemic homeostasis and
total patient well-being. Indeed, this new realm of the whole patient-based approach is being taught
in osteopathic schools around the country, and the osteopathic principles of a mind-body-spirit-
based treatment are being instilled in many new Doctor of Osteopathy (D.O.) students. However,
despite their proven therapeutic value, there are still many individuals, both in and outside the
medical profession, who are unaware (or misinformed) of the therapeutic uses and potential benefits
of OMT. Here, we provide a brief introduction to this osteopathic therapeutic approach, focusing
on the hands-on techniques that are regularly implemented in the clinical setting. It is becoming
increasingly evident that different OMTs can be implemented to enhance patient recovery, both alone
and in conjunction with the targeted therapies used in allopathic regimens. Therefore, it may be
beneficial to inform the general medical community and educate the public and those associated
with the healthcare field about the benefits of using OMT as a treatment modality. OMT is lower-cost,
noninvasive, and highly effective in promoting full-body healing by targeting the nervous, lymphatic,
immune, and vascular systems. There is a growing body of literature related to osteopathic research
and the possible molecular pathways involved in the healing process, and this burgeoning field of
medicine is expected to increase in value in the healthcare field. This brief review article explains
the frequently utilized OMT modalities and their recognized therapeutic benefits, which underscore
the need to understand the possible molecular mechanisms and circulating biomarkers linked to the
systemic benefits of osteopathic medicine.
Keywords: osteopathy; muscle energy; myofascial release; balanced ligamentous tension; diaphragm;
HVLA (High-velocity low amplitude); lymphatic pump; cranial osteopathy
1. A Brief Overview of Osteopathic Medicine
In principle, it is generally believed that osteopathy is an alternative practice of
medicine that accentuates the body’s innate principles of self-healing and modification to
achieve homeostasis [1]. Osteopathic therapy utilizes manipulation of the body’s tissues
and bones to facilitate the healing process. The lower cost of osteopathic medicine, their
noninvasive methodologies, and their proven efficacy in promoting full-body healing is a
testament to the growing number of osteopathic medical schools around the country. There
are currently 37 accredited colleges of osteopathic medicine in the United States. An esti-
mated 7445 osteopathic medical students graduated in 2021, and 8945 first-year osteopathic
medical students are expected to matriculate in the 2021-22 academic year [2]. One in four
Medicines 2022, 9, 33. https://doi.org/10.3390/medicines9050033 https://www.mdpi.com/journal/medicines